Individual
JESSICA TKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
521 BRIDGE ST, LEHIGHTON, PA 18235-1906
(484) 601-2283
Mailing address
521 BRIDGE ST, LEHIGHTON, PA 18235-1906
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009758
PA
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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